Right breast not dropping. 6 months post-op (Photo)

Question

Please help! Im 6 months post op my right breast doesn’t want to drop. I can feel soft/emptiness at the bottom of my right breast. My surgeon says it still needs timebut I’m starting to feel very anxious about it. My surgeon did tell me before surgery that final results would be at 6 months. So now I’m worried. Please give me some guidance. Thank you!

Daniel Barrett, MD · Answer

Dear Thriving544750,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Mario J. Samaha, MD · Answer

Hello,
Thank you for your question. The speed the implants drop depends on multiple factors, and is different from person to person. It is best to ask your plastic surgeon, and or to visit him for an examination.

Michele A. Shermak, MD · Answer

You may be demonstrating early signs of capsular contracture. It is still early so may be modifiable. Ways to treat include massage, breast bands and singulair prescription. Please check with your surgeon to check on their recommendations!

Camille Cash, MD · Answer

I'm sorry to hear of the issues you are having with implant position.  At six months post op it is doubtful that more time will result in the implant dropping into the pocket.  At this point surgical intervention may be necessary to get the implant placed correctly.

David Janssen, MD, FACS · Answer

In my experience, what you see at 4 months is what you get. Although your Right shoulder is slightly higher in the picture than the Left, your implant is definitely higher. This happens without asymmetry at the time of placement. In my practice, I return to the OR to reposition the Right side. I do not charge a surgeons fee, but the patient is responsible for the facility and if necessary an anesthesia fee.

Connie Hiers, MD, FACS · Answer

Go back to your surgeon and try oral Accolate and external ultrasound treatments to see if the capsule can be softened to let the implant drop. Wearing the upper breast band can also be helpful.  Otherwise, it may take surgery to lower the implant.

Darryl J. Blinski, MD · Answer

Thanks for the postop issue question and the 1 posted photo. Though seeing any before surgery photos could greatly help in determining your issues. Either you have capsular fibrosis/contracture on the right breast(?), or you were asymmetric to volume and shape operatively(?), or both???? Best to virtual consult with....

William A. Ross, MD - Account Suspended · Answer

Thank you for your question. Breast implant upper pole malposition at 6 months after surgery can have various causes, and identifying the specific reason is crucial for effective management. As a plastic surgeon who specializes in breast revision surgery at Blue Ocean Plastic Surgery, I will highlight a few common factors that can contribute to this issue based on widely-accepted, published principles of breast surgery. Inadequate implant pocket creation: Improper placement of the implant pocket during surgery can result in malposition. This may include subglandular placement without adequate support from the pectoralis muscle or inadequate release of the inframammary fold. This can lead to the implant sitting too high on the chest. Based on your photos, it appears as though the right inframammary fold was not released adequately. The shape of each breast is different. Capsular contracture: Capsular contracture is the excessive scar tissue formation around the implant. It can cause the implant to be displaced upwards, resulting in upper pole malposition. Capsular contracture can be influenced by various factors, such as inflammation, infection, or implant texture. Weak or stretched lower pole tissues: In some cases, the natural breast tissues may be weak or have poor elasticity, leading to inadequate support of the implant in the lower pole. Over time, the implant may shift upwards, causing upper pole malposition. Implant size and weight: Larger and heavier implants may exert more pressure on the lower pole tissues, potentially contributing to upper pole malposition over time. Surgical technique: Surgeon experience, technique, and precision play a significant role in preventing malposition. Careful dissection, appropriate pocket creation, and accurate implant placement are crucial for achieving optimal results. It appears from your photo that the upper, medial pole of the right pectorals may have been excessively released, distorting the cleavage and causing the breast to be misshapen. The left breast lacks a natural lower pole curve, possibly because of implant placement or choice.It is important to note that each case is unique, and a thorough evaluation by a board-certified plastic surgeon is necessary to determine the exact cause and develop an appropriate treatment plan. Surgical correction may be required to reposition the implant and restore a balanced breast appearance.

Right breast not dropping. 6 months post-op (Photo)

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